The medical visit In previous contacts, her husband told me that Anna, that's her name, while on the one hand she's very reserved and modest, on the other hand she enjoys imagining herself naked in front of a stranger. In these situations, shame generates arousal. We arrange the visit. She's ready to get involved; he's ready to enjoy himself and give his wife the fulfillment of a fantasy. The woman is accompanied by her husband. She explains that it's been a while since she's had a general check-up. Her husband reminds her that it's been at least four years since she's had a complete check-up. She looks at me and asks if she can stay during the visit. I ask the woman if she's okay with it. A little embarrassed, she says yes. After the medical history, I ask her to undress and keep only her panties on. She asks me if she can keep her bra on as well. I tell her no: I definitely need to listen to her heart and lungs and examine her shoulders. It's not necessarily a given that I need to have her private parts examined. She begins to remove her clothes: her husband, apparently impassive, watches her undress; I can already see a noticeable bulge in her pants. She undoes her bra: she looks at me before taking it off, hoping I've changed my mind. "Go ahead, take it off and go sit on the table," I say, annoyed by her hesitation. She complies with my request.